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1980, 09-04 Permit: 80-9589 Heat PumpPLAN NUMBER APPLICATION/PERMIT SPOKANE COUNTY — BOLDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES 1.- 2. JOB ADDRESS LOT 'LOCKSUBDIVISION' arta- K9 LEGAL DESCRIPTION - SEE ATTACHED 3. 4. OWNER ADDRESS CONTRA/it /MIL- ADIJRESS DESIGNER ^ ,���P , /J,�_) P ONE ZI9 rq/6 PHONE PARCEL NUMBER/S Actual Set Backs in Feet North 'South East 'West Size of Parcel Zone Classification 5. ZI PiajekY/ PHONE Type Const. Occupancy Sprinklered Oyes. ONo O Req'd. Valuation Building Area in Sq. Ft. ADDRESS ZIP Main Floor Upper Floors Garage Area , Storage CHANGE OF USE FROM 6. TYPE 7. OF WORK TO Area of Decks Finished Basement Unfin. Basement O NEW ❑ BLD. O ALT. ❑ PLMB. DESCRIBE WORK 8. IO. AD N. MECH. ❑ RPL. ❑ M.H. ❑ MVE. O POOL 0 OTHER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Rec'd. Not Req'd. VALUATION 9. SOURCE OF UTILITIES GAS u?P EUECTRIC Enum. Dist. Location (Area) WATER SEWER Ownership Public 0 Private 0 USE CODE I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS DATE OF APPLICATION -a/--90 SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall o. Engineer Utilities Plans Examiner SEPA Checklist SIGNATURE OF APPLICANT SPECIAL CONDITIONS: PERMIT IS NONTRANSFERABLE PainticKfaJ PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single $ Building Plumbing Mech. 3t°° iP -O3 Plan Check SEPA Mobile Home Other (Specify) TOTAL $ goo M PERMIT NUMBER gig° -7557 04* *9.00 •*9.00 *9,006 *GOO 3 95888 09-04-80 £ 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 95892 * 9.00 aP '0(9ibod 8rlp 9 0 7 — DATE ISSUED PERMIT NO. TOTAL >- 0 0 0 J